Billing for Direct Services

The Paradigm Difference

Three objectives, one solution

As your billing partner, we understand that it is our job to bring revenue into your schools; it is our job to provide you with reliable information; and, it is our job to grow your program and streamline the billing process. We do this so you will have successful, compliant, and cost efficient billing programs.

Reduce Redundancies

We deliver programs that are functional and maximized—that means finding all opportunities for reimbursement and leveraging existing processes to reduce your administrative burden. Our online application tracks all student health and related services in one place, simplifying program management and reporting.

Increase Reimbursements

Our primary function is to accurately process your claims and exhaust them for payment. Couple this with regular guidance from a dedicated program advisor, comprehensive training, a sound fiscal strategy, and ongoing program analysis you will understand why Paradigm is called “a partner.”

Be Audit-Ready

Your exposure is our exposure—we just don’t risk it. You will be informed, benefit from hands-on compliance reviews, and be provided the tools to keep back-up documentation up-to-date and in order. Paradigm is literally by your side for every review and audit.

“…I wish to express my gratitude for the tireless efforts on the part of Paradigm during our recent Medi-Cal audit…We rolled up our sleeves and got to work digging through mountains of file boxes…Paradigm’s energetic and indefatigable spirit kept me going over those very long eight days of audit…” –Program Coordinator, Anaheim UHSD

Technology

Student Health Network (SHN)

Paradigm’s SHN is an online solution for collecting, tracking, accessing, and protecting your students’ health information. It is not merely a Medicaid billing software suite, but a powerful tool that enables schools to:

Build a single, comprehensive electronic health record for each student

Enter service data via a user-friendly interface

Access powerful reporting providing you with insights into student health on a micro and macro level

Streamline Medicaid billing

SHN has an integrated ICD-10-CM index, is FERPA and HIPAA compliant, and completely secure.